Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility
Background: Conventional transbronchial needle aspiration (c-TBNA) is an underutilized bronchoscopic modality. Endobronchial ultrasound (EBUS) guided-TBNA though efficacious is an expensive modality, facilities of which are available at only limited centers. c-TBNA is cost-effective and has potentia...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Cytology |
| Subjects: | |
| Online Access: | http://www.jcytol.org/article.asp?issn=0970-9371;year=2016;volume=33;issue=1;spage=22;epage=26;aulast=Madan |
| _version_ | 1818278275397451776 |
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| author | Neha Kawatra Madan Karan Madan Deepali Jain Ritika Walia Anant Mohan Vijay Hadda Sandeep Mathur Venkateswaran K Iyer Gopi C Khilnani Randeep Guleria |
| author_facet | Neha Kawatra Madan Karan Madan Deepali Jain Ritika Walia Anant Mohan Vijay Hadda Sandeep Mathur Venkateswaran K Iyer Gopi C Khilnani Randeep Guleria |
| author_sort | Neha Kawatra Madan |
| collection | DOAJ |
| description | Background: Conventional transbronchial needle aspiration (c-TBNA) is an underutilized bronchoscopic modality. Endobronchial ultrasound (EBUS) guided-TBNA though efficacious is an expensive modality, facilities of which are available at only limited centers. c-TBNA is cost-effective and has potential for wide utilization especially in resource-limited settings. Rapid on-site evaluation (ROSE) improves the yield of c-TBNA.
Materials and Methods: A retrospective review of the bronchoscopy records (May 2012 to July 2014) was performed. The patients who underwent c-TBNA with ROSE were included in the study and their clinical details were extracted. Convex probe EBUS-TBNA was being regularly performed during the study period by the operators performing c-TBNA.
Results: c-TBNA with ROSE was performed in 41 patients with mean age of 42.4 (16.2) years. The most frequently sampled node stations (>90% patients) were the subcarinal and lower right paratracheal. Representative samples could be obtained in 33 out of the 41 patients (80.4%). c-TBNA was diagnostic in 32 [tuberculosis (TB)-8, sarcoidosis-9, and malignancy-15] patients out of the 41 patients. The overall diagnostic yield (sensitivity) of c-TBNA with ROSE was 78%. Mean procedure duration was 18.4 (3.1) min and there were no procedural complications.
Conclusion: c-TBNA with ROSE is a safe, efficacious, and cost-effective bronchoscopic modality. When it was performed by operators routinely performing EBUS-TBNA, diagnostic yields similar to that of EBUS-TBNA can be obtained. Even at the centers where EBUS facilities are available, c-TBNA should be routinely performed. |
| first_indexed | 2024-12-12T23:14:51Z |
| format | Article |
| id | doaj.art-3977352bd1664f09b7defce9f2eb07eb |
| institution | Directory Open Access Journal |
| issn | 0970-9371 |
| language | English |
| last_indexed | 2024-12-12T23:14:51Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Cytology |
| spelling | doaj.art-3977352bd1664f09b7defce9f2eb07eb2022-12-22T00:08:29ZengWolters Kluwer Medknow PublicationsJournal of Cytology0970-93712016-01-01331222610.4103/0970-9371.175493Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facilityNeha Kawatra MadanKaran MadanDeepali JainRitika WaliaAnant MohanVijay HaddaSandeep MathurVenkateswaran K IyerGopi C KhilnaniRandeep GuleriaBackground: Conventional transbronchial needle aspiration (c-TBNA) is an underutilized bronchoscopic modality. Endobronchial ultrasound (EBUS) guided-TBNA though efficacious is an expensive modality, facilities of which are available at only limited centers. c-TBNA is cost-effective and has potential for wide utilization especially in resource-limited settings. Rapid on-site evaluation (ROSE) improves the yield of c-TBNA. Materials and Methods: A retrospective review of the bronchoscopy records (May 2012 to July 2014) was performed. The patients who underwent c-TBNA with ROSE were included in the study and their clinical details were extracted. Convex probe EBUS-TBNA was being regularly performed during the study period by the operators performing c-TBNA. Results: c-TBNA with ROSE was performed in 41 patients with mean age of 42.4 (16.2) years. The most frequently sampled node stations (>90% patients) were the subcarinal and lower right paratracheal. Representative samples could be obtained in 33 out of the 41 patients (80.4%). c-TBNA was diagnostic in 32 [tuberculosis (TB)-8, sarcoidosis-9, and malignancy-15] patients out of the 41 patients. The overall diagnostic yield (sensitivity) of c-TBNA with ROSE was 78%. Mean procedure duration was 18.4 (3.1) min and there were no procedural complications. Conclusion: c-TBNA with ROSE is a safe, efficacious, and cost-effective bronchoscopic modality. When it was performed by operators routinely performing EBUS-TBNA, diagnostic yields similar to that of EBUS-TBNA can be obtained. Even at the centers where EBUS facilities are available, c-TBNA should be routinely performed.http://www.jcytol.org/article.asp?issn=0970-9371;year=2016;volume=33;issue=1;spage=22;epage=26;aulast=MadanBronchoscopy; lung cancer; sarcoidosis; transbronchial needle aspiration |
| spellingShingle | Neha Kawatra Madan Karan Madan Deepali Jain Ritika Walia Anant Mohan Vijay Hadda Sandeep Mathur Venkateswaran K Iyer Gopi C Khilnani Randeep Guleria Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility Journal of Cytology Bronchoscopy; lung cancer; sarcoidosis; transbronchial needle aspiration |
| title | Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility |
| title_full | Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility |
| title_fullStr | Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility |
| title_full_unstemmed | Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility |
| title_short | Utility of conventional transbronchial needle aspiration with rapid on-site evaluation (c-TBNA-ROSE) at a tertiary care center with endobronchial ultrasound (EBUS) facility |
| title_sort | utility of conventional transbronchial needle aspiration with rapid on site evaluation c tbna rose at a tertiary care center with endobronchial ultrasound ebus facility |
| topic | Bronchoscopy; lung cancer; sarcoidosis; transbronchial needle aspiration |
| url | http://www.jcytol.org/article.asp?issn=0970-9371;year=2016;volume=33;issue=1;spage=22;epage=26;aulast=Madan |
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